FRCA Curriculum – General, urological and gynaecological surgery

Competence	Source Curriculum	Description
GU_BK_01	Basic	Outlines the principles of preoperative assessment of patients undergoing major and minor surgery, including guidelines on the appropriateness of simple tests [i.e. NICE guidelines]
GU_BK_02	Basic	Describes the anaesthetic management of straightforward common surgical procedures and their complications, including but not limited to: Body surface surgery including breast procedures and thyroid surgery Urological procedures including TURP and its management [including the TURP syndrome] and procedures on the kidney and urological tract Laparoscopic surgery including but not exclusively: Diagnostic laparoscopy Laparoscopic and open cholecystectomy Intra-abdominal major general surgery procedures including but not exclusively: Elective colorectal resection Elective and emergency surgery for peptic ulcer disease Endoscopic procedures on the GI and GU tracts including, but not exclusively: OGD; flexible and rigid Sigmoidoscopy, Colonoscopy Cystoscopy Gynaecology Elective laparoscopic and open procedures on the uterus Elective and Emergency procedures in patients in early pregnancy such as ERPC and salpino-oophrectomy for ectopic pregnancy
GU_IK_01	Intermediate	Recalls/describes the principles off the peri-operative management of the commoner complex cases including, but not exclusively: Pancreatic and liver resection Oesophagectomy [including one lung ventilation] Resection of neuroendocrine tumours [e.g. carcinoid and phaeochromocytoma] Splenectomy Resection of retroperitoneal masses [including management of pleural breach]
GU_BK_03	Basic	Explains the physical and physiological effects of laparoscopic surgery including the effects of positioning [e.g Trendelenberg / reverse Trendelenberg, specifically in the setting of laparoscopic surgery]
GU_BK_04	Basic	Describes the principles of the anaesthetic management of patients with renal failure for non-transplant surgery, including care of shunts
GU_BK_05	Basic	Describes the principles of management of non-fasted patients requiring emergency surgery for whatever reason
GU_BK_06	Basic	Explains transfusion issues in different surgical procedures
GU_BK_07	Basic	Recalls/describes the management of major haemorrhage
GU_BK_08	Basic	Recalls/explains the relevance of metabolism and nutrition in the perioperative period
GU_BK_09	Basic	Explains the specific problems of anaesthesia for non-obstetric surgery in the pregnant patient
GU_BK_10	Basic	Recalls the factors associated with regurgitation and airway protection during common surgical procedures
GU_BK_11	Basic	Recalls/describes the anaesthetic implications of abnormal body weight, including morbid obesity
GU_BK_12	Basic	Describes the NCEPOD classifications and explains the importance of these in delivering surgical care to patients
GU_BK_13	Basic	Recalls/describes the peri-operative care of the elderly
GU_IK_02	Intermediate	Explains the effects of chemotherapy/radiotherapy, and the implications for anaesthesia
GU_IK_03	Intermediate	Recalls/describes the anaesthetic considerations of co-existing diseases including problems such as spinal injury
GU_IK_04	Intermediate	Recalls/ describes the ethical considerations of cadaveric and live-related organ donation for the donor [and relatives], recipient and society as a whole
GU_IK_05	Intermediate	Describes the issues of anaesthesia for renal transplant surgery
GU_IK_06	Intermediate	Explains the anaesthetic management of patients with transplanted organs for non-transplant surgery
GU_IK_07	Intermediate	Recalls/explains the anaesthetic complications related to disturbance of fluid balance, oedema, and dehydration
GU_IK_08	Intermediate	Recalls/describes the anaesthetic implications of bariatric surgery
GU_IK_09	Intermediate	Recalls/describes the principles of enhanced recovery programmes
GU_IK_10	Intermediate	Recalls / describes the rationale and principles of perioperative haemodynamic management and optimisation
GU_IK_11	Intermediate	Recalls / describes the principles of preoperative evaluation of patients at risk of post-operative morbidity, including risk stratification tools, for example scoring systems and measures of functional capacity [including cardiopulmonary exercise testing]